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The Most Common Signs of Cocaine Abuse

Medically Reviewed by: Charley Allen

Table of Contents

Signs of Cocaine Abuse

The Most Common Signs of Cocaine Abuse

and an estimated 1.1 million Americans meet criteria for cocaine abuse or dependence, according to the National Survey on Drug Use and Health. Cocaine, a central nervous system stimulant derived from the leaves of the coca plant, increases energy levels and makes people feel good by flooding the brain with dopamine, one of the chemical messengers that increase feelings of pleasure. The effects of cocaine are extremely habit-forming and can quickly lead to abuse, addiction, and even death. For family members who suspect a loved one is abusing cocaine, it is crucial to detect red flags as soon as possible. 

Cocaine Use

Cocaine, a stimulant drug that increases energy, has a rapid onset. The effects of cocaine when snorted reach their peak in 14.6 minutes, leaving users wanting more. The physical symptoms of someone on a cocaine binge are numerous. A user’s heart rate, body temperature, and blood pressure will markedly increase while under the influence. As for more visible symptoms, observers might note that those under the influence of cocaine often have a runny nose and dilated pupils.

Perhaps more obvious than the physical symptoms are the psychological signs of use. People beginning to use cocaine often change their friend group. They might isolate while withdrawing from the drug. Mood swings are common. Psychological signs of cocaine use include excitability, a boost in confidence, increased talkativeness, and sexual excitability. Side effects often include paranoia, irritability, restlessness, and even panic attacks.

Signs of Cocaine Abuse

shutterstock 1123885724 1 Design for RecoveryPeople seek out cocaine for the short-term effects on mood and energy, but this can quickly lead to regular abuse of the drug. As users try to maintain the rush, they tend to consume a greater amount of cocaine. Even using cocaine just once can have serious consequences, including death from cardiac arrest, but more long-term abuse increases the chances of an overdose even more as well as other serious life-altering side effects. 

Users who snort cocaine often report runny noses, frequent nosebleeds, and even loss of smell. Headaches, convulsions, and even seizures become more likely. Since cocaine puts the heart and cardiovascular system into overdrive, users put themselves at increased risk of heart disease, heart attacks, and strokes. A regular user of cocaine can find their digestive system compromised and experience abdominal pain and nausea.

Long-term use of cocaine can severely limit a person’s ability to function. Financial problems tend to accumulate, as more and more money and resources are devoted to acquiring the drug. Cocaine can also lead to sexual problems. Cocaine worsens decision-making skills, increases sex drive, and increases willingness to engage in risky behavior, which can put users at risk of sexual abuse or contracting a sexually transmitted infection.

Users might find themselves driven to isolate from friends and loved ones, either as a direct result of the cocaine, or because they have harmed those relationships. Since cocaine increases irritability and anger, someone who is actively abusing cocaine might engage in patterns of emotional abuse that damage relationships at home and at work.

It is even possible for serious abusers to lose complete touch with reality. According to the National Institute on Drug Abuse, the higher amounts of cocaine that abusers require during a binge can result in increased paranoia and restlessness, and even in some cases full blown psychosis.

Cocaine Addiction Symptoms

Cocaine addiction occurs when long-term use has created permanent changes in the user’s brain. Cocaine dependence occurs following withdrawal, making users crave the drug as soon as it wears off. Over time, the brain adapts to the effects of the drug and becomes less sensitive to it, causing users to require greater and greater amounts of cocaine to achieve the same effects. This combination of desensitization and dependence results in drug addiction.

Addiction is a legitimate mental illness, referred to by medical professionals as Substance Use Disorder. The DSM-5, the reference manual used by psychiatrists to diagnose disorders, offers a list of symptoms of addiction. If someone has two or more of these symptoms and has found their life significantly impaired by the substance, they will likely be diagnosed with Substance Sse Disorder.

  • Using more of a substance than planned, or using a substance for a longer interval than desired
  • Inability to cut down despite desire to do so
  • Spending substantial amount of the day obtaining, using, or recovering from substance use
  • Cravings or intense urges to use
  • Repeated usage causes or contributes to an inability to meet important social, or professional obligations
  • Persistent usage despite user’s knowledge that it is causing frequent problems at work, school, or home
  • Giving up or cutting back on important social, professional, or leisure activities because of use
  • Using in physically hazardous situations, or usage causing physical or mental harm
  • Persistent use despite the user’s awareness that the substance is causing or at least worsening a physical or mental problem
  • Tolerance: needing to use increasing amounts of a substance to obtain its desired effects
  • Withdrawal: characteristic group of physical effects or symptoms that emerge as amount of substance in the body decreases

People who become addicted to cocaine lose their feeling of control over the drug. Even when they know it causes them harm and wish to stop, users feel unable to stop using. They might completely restructure their lives around obtaining and using the drug. Cocaine addiction can interfere with a person’s ability to go to work or school, destroy relationships with friends and family, and lead to serious emotional and physical health problems and even death.

Even after long periods of abstinence, someone who has formerly been addicted to cocaine tends to have a very high likelihood of relapse. It is crucial for anyone suffering from cocaine addiction to recognize their problem and seek help immediately. Likewise, if one suspects that a close friend or loved one is abusing cocaine, it is in their best interest to seek aid for them as soon as possible.

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David moved to California from his hometown in North Carolina after multiple failed attempts to get sober. While living in an all-male sober living, David started to excel as a leader and mentor. These skills and tools ended up being the catalyst for his recovery and ultimately the foundation he has today. David has a passion for helping young men and sharing his experience. After working in the treatment industry he noticed a serious need for ethical sober living facilities. This prior work experience brought about David’s idea and drive to open Design For Recovery. He’s ambitious to promote growth and change within each individual client that enters the house. David has a strong presence in the house and continues to be part of mentoring young men on a daily basis.

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Edited by: David Beasley

David Beasley - Design for Recovery

David Beasley is a certified RADT (Registered Alcohol/Drug Technician). David, moved to California from North Carolina after many failed attempts to get sober.

Medically Reviewed by: Charley Allen

Charley earned his Masters of Clinical Psychology from Antioch University, Los Angeles, and is a California Licensed Marriage and Family Therapist (LMFT).He teaches mindfulness to both adults and children in group setting such as schools, corporate workplaces, and medical treatment facilities.

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